DANIEL ANTHONY BACA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

NOT RENEWED

Business

First Name

DANIEL ANTHONY

Last Name

BACA

Suffix

DDS

Business Name

DANIEL ANTHONY BACA DDS

Original Issue Date

04/29/1993

Effective Date

04/29/1993

Expiration Date

09/30/1996

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005